Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R. Vandervort, OD, PC

Organization Optometrist · NPI 1467697862

Charles R. Vandervort, OD, PC is an Optometrist in Green River, Wyoming. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

665 Uinta Dr
Green River, WY 82935-5031
Phone: (307) 875-4538
Fax: (307) 875-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 101T (WY)

Record details

NPI number1467697862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Vandervort — President · (307) 875-4538
Other names Eye Care Specialists Of Green River
NPI enumeratedDecember 14, 2008
Last updated in NPPESAugust 11, 2010
Mailing address665 Uinta Dr, Green River, WY 82935-5031

Other providers in Green River